Marciniak, Steven A
Marciniak, Steven A is an individual health care provider with primary practice located at 2111 Ogden Ave , Aurora IL 60504-7597. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Marciniak, Steven A can be contacted via phone (630) 978-3800.Contact Information
Primary practice address
2111 Ogden Ave
Aurora IL 60504-7597
Phone: (630) 978-3800
Fax: (630) 862-3085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036097420 | Illinois |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 036097420 | Illinois |
Profile Details
| NPI number | 1205813813 |
|---|---|
| LBN Legal business name | Marciniak, Steven A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | May 29th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205813813 | NPPES |
| Illinois | MEDICAID | 036097420 |
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